Designated Emphasis in Biotechnology: Progress Report Today’s Date: Student ID Number (Not your social security #): Name (Last, First, Middle Initial): Email address: Phone (Daytime): Phone (Lab): Gender: Citizenship: Permanent Resident (Yes/No): Disability Status (Yes/No): Underrepresented Minority Status (Yes/No): How did you first learn about the DEB Program? Did you register your DEB enrollment with Graduate Studies? (Yes/No) (if not, please do so ASAP!!!) Department: Graduate Group: Major Professor: Date Entered Graduate Program: Date Entered the DEB: 1 DATE COMPLETED PROGRAM REQUIREMENTS GRADE/ LOCATION ECH 160 - Fundamentals of Biomanufacturing (fall quarter). This is an ELECTIVE GGG 296: Scientific Professionalism and Integrity OR ABG 401: Ethics and Professionalism in Animal Biology OR BIM 209 (formerly BIM289A): Scientific Ethics and Inquiry OR ECL 290: Responsible Conduct of Research for Environmental Scientists may be substituted OR PMI 250: Philosophy and Ethics of Biomedical Science OR PLP 298: Scientific Ethics and Professionalism: Scientific Ethics in Biotech Research OR PMI 250: Philosophy and Ethics of Biomedical Science Requirement as of 2004. MCB263: Biotechnology Fundamentals and Application. MCB 294/ECH 294: Current Progress in Biotechnology Seminar List ALL quarters (3 quarters needed or 2 quarters w/MIC 292) **MCB 282: A minimum of 3 months internship at a biotechnology company* (Please indicate location!) MIC 292: From Discovery to Product: An Introduction to Biotechnology at the Industrial Level Elective - May be substituted for 1 of the 3 required MCB/ECH 294 courses ** submit a 1-2 page report to biotechprogram@ucdavis.edu (attn: Dr. Kjelstrom) upon completion 2 Qualifying Exam Date: Qualifying Exam Committee (One DEB Faculty member required to ask DEB related questions, please indicate with *; please give both full first and last names) 1) 2) 3) 4) 5) Proposed Thesis Completion Date: Proposed Thesis Title: Thesis Committee (Major Professor must be DEB member, please indicate with *; please give both full first and last names). 1) 2) 3) Please answer “yes” or “no” to the following activities: Have you been a presenter for a Pizza Chalk Talk? ____________ If so, when did you present? ______________________________ Have donated your time on Picnic Day for the Biotech Program?____________ If so, which year? _________________________________________________ Have you volunteered any of your time for our Biotech Program? ____________ If so, what did you volunteer for and when did it occur? _________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ 3